Samuel  L  Peavy    DC
Contract Details
ChiroPlus Of Alabama
Facility name
Provider ID
P000001342
NPI
1144392366
Tax ID
630892118
Effective Date
7/1/1999
Last Updated
4/16/2014
Direct Contract
Yes
Term Date
4/16/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1201 Ann Street
Montgomery, AL 36107
United States
County
Montgomery
Phone
3342657123 (Phone)
Billing Details
Address
1201 Ann Street
Montgomery, AL 36107
Billing Phone
3342657123
Specialty Type
Chiropractic Medicine
Map
Address